Evidence map›Paper›PMID 42749358›Full record

SynthesisBMJ paediatrics open2026

Drawing and visual art interventions for anxiety in children aged 5-12: a systematic review and meta-analysis of randomised controlled trials.

Yu Jia, Shaojie Zhang, Diying Liao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yu JiaCollege of Digital Creativity, Henan Technical College of Construction, Zhengzhou, China.
Shaojie ZhangCollege of Art and Design, Henan Institute of Economics and Trade, Zhengzhou, China prof_shaojiezhang1@163.com.ORCID http://orcid.org/0009-0006-1819-7552
Diying LiaoGraduate School of Global Convergence, Kangwon National University, Chuncheon-si, Korea (the Republic of).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of drawing- and visual art-based interventions on anxiety in children aged 5-12 years and to examine variation across comparator structures and settings.

methodsPubMed, Web of Science, Cochrane Library, ERIC, DOAJ and China National Knowledge Infrastructure were searched for randomised controlled trials (RCTs). Postintervention anxiety was the primary outcome and was pooled as standardised mean differences. Trials using non-art or usual-care comparators and those using active art comparators were synthesised separately. Risk of bias was assessed using RoB 2.

results10 RCTs involving 816 children were included. The primary meta-analysis included eight trials with non-art or usual-care comparators conducted in medical or procedure-related contexts. Drawing- and visual art-based interventions were associated with lower short-term anxiety compared with these controls (SMD=-2.70, 95% CI -3.73 to -1.68; I²=96%). Leave-one-out sensitivity analyses and exclusion of studies at high risk of bias did not materially change the direction of the effect although heterogeneity remained substantial. Two school-based trials used active art-based comparators and were synthesised separately.

conclusionDrawing- and visual art-based interventions may reduce short-term anxiety mainly in acute medical or procedure-related contexts. Because heterogeneity was substantial and school-based evidence used different comparator structures, the current evidence does not support a single generalisable effect across paediatric settings. PROSPERO REGISTRATION NUMBER: CRD420261288781.

Indexed as

AnxietyArt TherapyChildChild, PreschoolHumansRandomized Controlled Trials as TopicChildChild HealthChild PsychiatryTherapeutics

Identifiers

PMID42749358
PMCPMC13583843

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.